Comparisons of Superiority, Non-inferiority, and Equivalence Trials
- PMID: 29719352
- PMCID: PMC5925592
- DOI: 10.11919/j.issn.1002-0829.217163
Comparisons of Superiority, Non-inferiority, and Equivalence Trials
Abstract
Efficacy of a new drug or treatment is usually established through randomized clinical trials. However, specifying hypotheses remains a challenging problem for biomedical researchers. In this survey we discuss superiority, non-inferiority, and equivalence trials. These three types of trials have different assumptions on treatment effects. We compare the assumptions underlying these trials and provide sample size formulas.
一种新型药物或治疗的效果通常是通过临床随机对照试验获得的。然而,假设的设定对生物医学研究者来说仍然是具有挑战性的问题。在本调查中,我们讨论了有效性试验、非劣效性试验、和等效性试验。这三类试验对治疗效果均有不同的假设。我们比较了这些试验中的假设并提供了样本量计算公式。.
Keywords: Randomized clinical trial; margin of clinical significance; sample size calculation.
References
-
- Chow SH, Liu JP. Design and analysis of clinical trials (2nd ed.). Hoboken, NJ: Wiley; 2004
-
- Christensen E. Methodology of superiority vs. equivalence trials and non-inferiority trials. J Hepatol. 2007; 46: 947-954. doi: http://dx.doi.org/10.1016/j.jhep.2007.02.015 - DOI - PubMed
-
- Dunnett CW, Gent M. An alternative to the use of two-sided tests in clinical trials. Stat Med. 1996; 15: 1729-1738. doi: http://dx.doi.org/10.1002/(SICI)1097-0258(19960830)15:16<1729::AID-SIM33... - DOI - PubMed
-
- Fleshner NE, Evans A, Chadwick K, Lawrentschuk N, Zlotta A. Clinical significance of the positive surgical margin based upon location, grade, and stage. Urol Oncol. 2010; 28(2): 197-204. doi: https://doi.org/10.1016/j.urolonc.2009.08.015 - DOI - PubMed
-
- Friedman LM, Furberg CD, DeMets D, Reboussin DM, Granger CB. Fundamentals of clinical Trials (5th ed.). New York: Springer; 2015
LinkOut - more resources
Full Text Sources